Most of our readers already know, there are two options that employers and other health care purchasers can choose to fund health care benefits. Fully insured employers pay premiums to
1-2-3 Did you know that having access to an APCD has the potential to make data analytics as easy as A-B-C? You may have heard of an APCD before –
No two employers are alike, especially when it comes to health care purchasing. Benefits offerings need to reflect unique characteristics, like employee demographics and health status, company culture, and regional
In July 2017, the Centers for Medicare and Medicaid Services (CMS) issued the 2018 Medicare Physician Fee Schedule Proposed Rule, suggesting how it planned to update its payment policies and
Suzanne calls Jennie Pao, Manager of Health Care Planning at Pitney Bowes, to learn about her experience with the ACO performance reports Pitney Bowes receives from its health plans and
While satellite images have revolutionized cartography, there is no eye-in-the-sky view available to see the impact that payment reform is having on the health care system. With the help of
CAPG, an association representing physician organizations who practice capitated, coordinated care, recently put out a guide to alternative payment models (APMs) that includes a series of case studies on various
Have we made headway in addressing the quality of maternity care, or haven’t we? Suzanne calls Elliott Main, obstetrician and Medical Director of the California Maternal Quality Care Collaborative (CMQCC),
Fun fact! There are almost 1,000 active accountable care organizations (ACO) across the United States, covering more than 32 million lives (~10 percent of the U.S. population). If you are
By CPR’s Executive Director, Suzanne Delbanco Long before there were agreed upon standards for measuring the quality of health care, any health care provider could measure its own quality and
Suzanne dials up Leemore Dafny, a Harvard professor and economist, to find out how she keeps a “glass half full” outlook in the face of provider consolidation and higher prices
Updated on October 7, 2019 Congratulations! You’ve made it through another benefits planning season and you can finally relax. But not so fast. Focusing on execution during implementation is equally
Suzanne talks to Diane Meier, Director of the Center to Advance Palliative Care (CAPC) about a specialty that is not getting the attention it deserves yet–palliative care. Learn what it
Not too long ago, we busted the myth that high prices mean high quality care and that we can’t extend the retail mindset to health care. But do consumers actually
Listen in to Suzanne’s exchange with Marty Gaynor, Professor of Economics and Health Policy at Carnegie Mellon University and leading expert in consolidation and market competition, where he explains how physician and
The challenges employers and other health care purchasers face and the solutions needed to solve them come in all shapes and sizes. Sometimes, it can even feel as though one
Benefit designs that emphasize consumer cost-sharing are now the norm in the U.S. As adoption of high-deductible health plans (HDHPs) and other cost-sharing models increase, we need to continue to
Suzanne calls Mark McClellan, Director of the Duke Margolis Center for Health Policy, to discuss what he knows about what’s going on in payment reform today, such as what types of
Looking ahead to 2018, those working to improve the health care marketplace have our work cut out for us. Provider consolidation is creating lopsided market dynamics, specialty drugs are causing
With the increasing cost of prescription drugs seeming never-ending, Suzanne waned to check in with the polling expert, Mollyann Brodie, Senior Vice President for Executive Operations at the Kaiser Family Foundation, to
